Integrated approach to early childhood development essential package of services care india
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Integrated approach to Early Childhood Development ‘Essential Package of Services’ CARE India. CARE: ECE Interventions. 2002. 2004. 2005. 2008. 2009. 2010. 2013. Bihar ( 2008-2011) Flood Relief Programme & Linked for Learning. UP (2002-2005) Aanchal. Gujarat (2004-2009 ) Snehal.

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Integrated approach to early childhood development essential package of services care india

Integrated approach to Early Childhood Development‘Essential Package of Services’ CARE India

Care ece interventions
CARE: ECE Interventions








Bihar (2008-2011)

Flood Relief Programme & Linked for Learning

UP (2002-2005)




ANI (2005-2009)

Sanjog-Tsunami Response Programme


Essential Package-ECD

Moving towards integrated approach
Moving towards integrated approach

  • ANI: 3-6 yrs-850 AWC

    • 80% AWC operationalised preschool education

    • 100% Functional sectors

    • Resource centre/cadre of local resource persons

  • Bihar: 3-8 yrs

    • Technical resource developed for age appropriateness for preschool education and readiness, tested and operationalised in 50 AWC

    • Established linkages with primary school: morning assembly (oral skills….structured learning)

  • Chhattisgarh: 0-6 yrs-400 AWC

    • Early stimulation for under 3, linkages between nutrition, health, rights, education, livelihood

    • Focused intervention with parents, community, AWC

Integrated approach assumptions
Integrated approach-Assumptions

  • Early years of life critical for lifelong domains of Child development-physical, social, emotional, Language and cognitive

  • Interdependency of Developmental domains

    • Focus on one domain & not on other/s leads to lopsided development

  • Maternal and child rights to education, health, safety, security critical

  • Poverty principle vehicle affecting disadvantaged children in growth & devpt

  • Early interventions best for most vulnerable (compensate for negative experiences & deprivation)

  • Economic strengthening interventions provide direct benefits to children

  • Nutrition plays a pivotal role in early health care & devpt

  • Integrated programming sectors provide holistic support

Premise for a successful integrated approach
Premise for a successful integrated approach……………

  • Integration of health, nutrition, education, social, economic development & collaboration between government agencies and civil society

  • Direct contact with children early in life at various levels

  • Parents and families as partners with teachers/caregivers to support child development (CD)

  • Psychosocial support helps children understand and deal with change, loss

  • Blend traditional child-rearing practices/beliefs with evidence based approach

  • Trained staff in content, supervision, assessment are able to better monitor CD & program effectiveness

Benefits of approach
Benefits of Approach

  • Simplified, holistic & replicable program

    • capable of delivering ECD in resource constrained areas through community based childcare centres

  • Highly cost effective

    • Link resources of health, education, nutrition & sanitation, livelihood

  • Increases efficacy of other investments in child development

    • Essential sequel and complement to early child care and development programs. Prepares healthy recipient for next level.

  • Ensures better educational outcomes

    • Good health boosts enrolment and attendance, reduce dropout, increase achievement

  • Improves social equity

    • Most disadvantaged children access school and benefit from health & nutrition interventions.

Central focus child
Central Focus-Child

  • Focus on children from most marginalized communities/sections

  • Enable children to achieve age specific milestones (physical-motor, socio-emotional, Language, cognitive)

  • Address whole child, “between 0- 8 years”

    • age specific needs are identified and interventions designed accordingly

  • Focused age/stage

  • Pre-natal; 0-3 years; 3-5 years; 6-8 years

  • Rationale:

    • When they are young they grow faster, needs differ accordingly

    • Physical Needs not so dynamic at 3-4 age though stimulation needs continues

    • 5-6 age to ensure school readiness

    • Beyond 6-8 primary school retention

  • Promising approach essential package ep
    Promising Approach: Essential Package (EP)

    • Integrates programming sectors

    • Provides holistic support to child and caregivers

    • Refers to child’s 5 essential needs-areas of intervention

    • 5 environments to support child-levels of interventions

    • Rights based Approach

    5 levels of interventions

    • CONVERGENCE: CARE Intl and Save the Children developed EP through to address critical needs of the child, strategy being tested in different settings in Africa, Latin America and Asia

    Integrated approach to early childhood development essential package of services care india



    Care giver settings




    Home to Early Learning Environment

    Pre-School to Primary School


    Child’s Development


    Birth - 3

    Ages 3 - 5

    Ages 6 - 8

    Key strategies
    Key Strategies

    • Measurement of impact on children’s physical, socio-emotional, cognitive development

      to track and strategise

      • through validated/culturally relevant tools/indicators & std health & nutrition indicator data

    • Enhancing parenting skills

      • Through home visits/monthly meetings with caregivers

      • Orientation of parents on child devpt-nutrition, safe food, water, education, rights…

    • Improving household income security

      to improve household earning potential

      • Linkages with Government schemes – Strengthening SHGs

    • Empowering caregivers and communities

      to improve lives of young children & their families, provide positive social setting for children

      • Continuous training of service providers – ICDS and health workers

      • Strengthen support system for service providers, Increase Motivation

      • Awareness building, involving in management, use of community resources

    Key strategies1
    Key Strategies

    • Building capacity of child care centres

      to facilitate early childhood development and education

      • Improve quality of infrastructure at AWC

      • Strengthen supportive supervision for AWW

      • Develop as focal point around which services benefiting caregivers, households, child can be organised/delivered

      • Use forums for civic engagement in policy change

    • Advocacy around EP

      to lead to changes in larger policy environment reflecting ECD as national priority

      • Expand wider political network to strengthen provisions

      • Work with local partners, organisations, key stakeholders

    Five areas of impact
    Five Areas of Impact

    • Food & Nutrition

      • Nutritious meals in AWC, at home

    • Child development

      • Use of ECD age appropriate curricula to build capacity of teachers/caregivers in childcare settings

      • Linkages between ECD centres & formal primary schools

    • Economic Strengthening

      • Linkages with livelihood schemes

    • Health

      • Access to quality health services, safe water, sanitation

      • Awareness on life threatening, preventable, communicating diseases

      • Health screening, vaccination

    • Child Rights & Protection

      • Advocacy initiatives & trainings to increase awareness

      • Link with existing legal services

      • Trainings on child rights for community members & others

    Ep in india
    EP in India

    • Being piloted in Korba and Jhanjgir Districts of Chhattisgarh from 2011

    • Partnership and engagement

      • ICDS , Health Department and Panchyati Raj

      • SHG, Community and Caregivers

    • Resources generated…

      • Conceptual EP

      • Technical Package

        • Early stimulation +(health, nutrition, emotional, cognitive needs)

        • Flip book, calendar, 3 reference booklets

        • Specific booklet on preschool education to ensure school readiness

        • Activity bank for AWWs

        • IEC material

        • Supportive monitoring framework